EP2866643B1 - Evaluation de perméabilité par photopléthysmographie sur des images endoscopiques - Google Patents

Evaluation de perméabilité par photopléthysmographie sur des images endoscopiques Download PDF

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Publication number
EP2866643B1
EP2866643B1 EP13759814.0A EP13759814A EP2866643B1 EP 2866643 B1 EP2866643 B1 EP 2866643B1 EP 13759814 A EP13759814 A EP 13759814A EP 2866643 B1 EP2866643 B1 EP 2866643B1
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ppg
image
light
blood vessel
recited
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German (de)
English (en)
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EP2866643A1 (fr
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Haytham Elhawary
Aleksandra Popovic
Willem VERKRUIJSSE
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4887—Locating particular structures in or on the body
    • A61B5/489—Blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00006—Operational features of endoscopes characterised by electronic signal processing of control signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00009—Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00043—Operational features of endoscopes provided with output arrangements
    • A61B1/00045—Display arrangement
    • A61B1/0005—Display arrangement combining images e.g. side-by-side, superimposed or tiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A61B5/0261—Measuring blood flow using optical means, e.g. infrared light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A61B5/0295—Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/1459—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters invasive, e.g. introduced into the body by a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4851—Prosthesis assessment or monitoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7285—Specific aspects of physiological measurement analysis for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Human Computer Interaction (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Robotics (AREA)
  • Transplantation (AREA)
  • Endoscopes (AREA)
  • Signal Processing (AREA)
  • Vascular Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Claims (10)

  1. Système pour évaluer la perméabilité, comprenant :
    un capteur de lumière (128) pouvant être positionné par rapport à un vaisseau sanguin pour recevoir une lumière provenant du vaisseau sanguin et convertir la lumière en un signal d'image ;
    un module d'interprétation de photo-pléthysmographie (PPG) (115) configuré pour recevoir le signal d'image et délivrer en sortie des valeurs de pixels dans une image représentant des informations de PPG ; et
    un module de génération d'image (148) couplé au module d'interprétation de PPG et configuré pour recevoir les valeurs de pixels et générer une carte de PPG à transmettre à un affichage pour une analyse,
    caractérisé en ce que le système comprend en outre :
    une source de lumière (126) présente sur un endoscope et configurée pour générer une lumière pour éclairer le vaisseau sanguin ; et en ce que le capteur de lumière est monté sur l'endoscope et est configuré pour recevoir la lumière provenant du vaisseau sanguin en réponse à la lumière générée par la source de lumière.
  2. Système selon la revendication 1, dans lequel le capteur de lumière (128) comporte une caméra.
  3. Système selon la revendication 1, comprenant en outre un robot (124) configuré pour positionner le capteur de lumière par rapport au vaisseau sanguin.
  4. Système selon la revendication 1, dans lequel le capteur de lumière (128) est configuré pour être positionné en une position par rapport au vaisseau sanguin à un premier instant pour obtenir une première carte de PPG et est en outre configuré pour être positionné dans la même position à un second instant pour obtenir une seconde carte de PPG, permettant une comparaison des première et seconde cartes de PPG pour déterminer des changements de PPG dans le vaisseau sanguin.
  5. Système selon la revendication 4, comprenant en outre un robot (124) configuré pour permettre un positionnement répété du capteur de lumière à des instants différents.
  6. Système selon la revendication 4, dans lequel le module de génération d'image (148) est en outre configuré pour générer une image soustractive des première et seconde cartes de PPG à partir des premier et second instants.
  7. Système selon la revendication 6, dans lequel le module de génération d'image (148) est en outre configuré pour superposer l'image soustractive sur une image provenant du signal d'image fourni par le capteur de lumière.
  8. Système selon la revendication 1, dans lequel le module de génération d'image (148) est en outre configuré pour superposer la carte de PPG (136) sur une image provenant du signal d'image fourni par le capteur de lumière.
  9. Système selon la revendication 1, dans lequel le module de génération d'image (148) est en outre configuré pour superposer la carte de PPG (136) sur une image radiologique.
  10. Système selon la revendication 1, dans lequel le vaisseau sanguin comporte une greffe de pontage et la carte de PPG (136) indique un écoulement sanguin dans la greffe à des instants différents.
EP13759814.0A 2012-06-28 2013-06-20 Evaluation de perméabilité par photopléthysmographie sur des images endoscopiques Active EP2866643B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201261665335P 2012-06-28 2012-06-28
PCT/IB2013/055071 WO2014001981A1 (fr) 2012-06-28 2013-06-20 Evaluation de perméabilité par photopléthysmographie sur des images endoscopiques

Publications (2)

Publication Number Publication Date
EP2866643A1 EP2866643A1 (fr) 2015-05-06
EP2866643B1 true EP2866643B1 (fr) 2017-09-20

Family

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Application Number Title Priority Date Filing Date
EP13759814.0A Active EP2866643B1 (fr) 2012-06-28 2013-06-20 Evaluation de perméabilité par photopléthysmographie sur des images endoscopiques

Country Status (5)

Country Link
US (1) US9750575B2 (fr)
EP (1) EP2866643B1 (fr)
JP (1) JP6320374B2 (fr)
CN (1) CN104427926B (fr)
WO (1) WO2014001981A1 (fr)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
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JP5988907B2 (ja) * 2013-03-27 2016-09-07 オリンパス株式会社 内視鏡システム
EP3125745A1 (fr) * 2014-03-31 2017-02-08 Koninklijke Philips N.V. Dispositif, système et procédé de détection et/ou de monitorage d'une tumeur
KR102349959B1 (ko) * 2015-01-07 2022-01-11 삼성전자주식회사 생체 신호 측정장치 및 방법
WO2016189071A1 (fr) * 2015-05-28 2016-12-01 Koninklijke Philips N.V. Système d'imagerie à rayons x avec caméra capable d'enregistrer des états physiologiques
CN108430323A (zh) * 2015-08-07 2018-08-21 关也正树 血流障碍检测装置
WO2017121834A1 (fr) * 2016-01-15 2017-07-20 Koninklijke Philips N.V. Dispositif, système et procédé pour produire une image photopléthysmographique portant une informations sur un signe vital d'un sujet
WO2018046094A1 (fr) * 2016-09-09 2018-03-15 Siemens Aktiengesellschaft Procédé pour faire fonctionner un endoscope, endoscope et moniteur de paramètres vitaux
US11406274B2 (en) * 2016-09-12 2022-08-09 Alio, Inc. Wearable device with multimodal diagnostics
EP3585250A1 (fr) * 2017-02-27 2020-01-01 Koninklijke Philips N.V. Guidage de cathéter artériel et de ponction veineuse par amplification de variation de signal
JP6918971B2 (ja) * 2017-04-21 2021-08-11 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． トモグラフィックイメージングのためのパルスオキシメータを使用した呼吸ゲーティング
EP3808275A1 (fr) * 2019-10-14 2021-04-21 Koninklijke Philips N.V. Angiographie par perfusion combinée à l'imagerie photopléthysmographique pour l'évaluation des maladies vasculaires périphériques
CN112842285B (zh) * 2020-12-31 2021-09-24 山东大学齐鲁医院 一种内镜下辅助识别粘膜下血管的方法及系统
CN112971694B (zh) * 2021-04-30 2021-08-20 武汉磁济科技有限公司 一种胶囊内窥镜、胶囊内窥镜的控制系统以及方法
US20230053189A1 (en) * 2021-08-11 2023-02-16 Terumo Cardiovascular Systems Corporation Augmented-reality endoscopic vessel harvesting

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Also Published As

Publication number Publication date
CN104427926B (zh) 2017-09-08
JP6320374B2 (ja) 2018-05-09
US20150164592A1 (en) 2015-06-18
WO2014001981A9 (fr) 2015-02-26
JP2015525599A (ja) 2015-09-07
US9750575B2 (en) 2017-09-05
CN104427926A (zh) 2015-03-18
EP2866643A1 (fr) 2015-05-06
WO2014001981A1 (fr) 2014-01-03

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